How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $10.23 Median $27.54 Typical High $37.15 | Facility | None | $10.23 | $27.54 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | None | $10.23 | $10.23 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $30.90 | Professional | None | $14.79 | $23.99 | $30.90 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $16.22 Typical High $194.98 | Professional | None | $13.18 | $16.22 | $194.98 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $26.92 | Facility | None | $12.30 | $16.98 | $26.92 |
Medica Setting Professional Modifier None Typical Low $9.55 Median $21.88 Typical High $602.56 | Professional | None | $9.55 | $21.88 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $17.38 | Professional | None | $16.22 | $16.22 | $17.38 |
Oscar Health Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $27.54 | Professional | None | $12.59 | $14.13 | $27.54 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $33.11 | Facility | None | $13.18 | $13.18 | $33.11 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.18 Typical High $26.30 | Professional | None | $8.71 | $13.18 | $26.30 |
Wellmark Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.13 Median $5.13 Typical High $7.76 | Professional | 52 · Reduced service | $5.13 | $5.13 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $3.16 | Professional | 53 · Discontinued | $2.04 | $2.04 | $3.16 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in New Jersey. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Iowa· 17th of 51
$15.85
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.